I've had silicone microdroplets injected to elevate acne scars and unfortunately have been faced with overcorrection in some spots, resulting in visible lumps. I've had some mixed results with kenalog injections, but the bumps always return after a couple of months. Can dermabrasion or ablating with a C02 laser flatten these bumps? Or would I be better off getting injections of kenalog / 5-FU indefinitely every few months?

Silikon 1000 Granulomas

January 6th, 2015

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This is a very difficult thing to treat. Most of the time I find myself subcising and doing kenalog with 5FU along with fractional nonablative laser or radiofrequency treatments. If this doesnt do it, then surgical removal is the best option. I suggest getting at least one of them biopsied and cultured. Find someone who is an expert in treating this. Typically that is someone who injects Silikon or a lot of fillers and uses lasers. Best, Dr. Emer.

Very difficult to treat

January 15th, 2015

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Granulomas that result from silicone injection are very difficult to treat. In our office, we try steroid injections as the first step. If this method is not successful, we usually excise the area and perform a plastic surgery closure to minimize the scarring. Make sure you see a doctor with experience in handling this type of problem. Good Luck!

Silikon 1000 Pictures

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